Target intelligence / Profile preview

Transcobalamin-2 (TCN2)

Target
TCN2
Molecular classification
Transporter, Vitamin-binding protein
01

Overview

Transcobalamin-2 (TCN2) is a plasma transporter protein that binds vitamin B12 (cobalamin) and delivers it from the bloodstream into the cell by binding to specific cell-surface receptors and promoting cellular uptake through endocytosis[1][5][7][9]. It has a critical role in supporting essential one-carbon metabolism, including DNA synthesis, methylation reactions, and homocysteine clearance, by ensuring adequate intracellular vitamin B12 for coenzyme activity[3][5]. Deficiency of TCN2, often due to rare genetic mutations, leads to defective cobalamin delivery, causing macrocytic or megaloblastic anemia, neurological deficits, and sometimes severe immunodeficiency[1][7][8]. The only known direct ligand is vitamin B12; no classic drug antagonists or inhibitors are reported. Biomarkers such as holotranscobalamin and TCN2 gene analysis are used for diagnosis, as deficiency is a medically actionable cause of severe disease in infancy and childhood[1][3][8].

Other names
Transcobalamin IITranscobalamin-2TC IITC-2TC2TCIIVitamin B12-binding protein 2macrocytic anemia proteinD22S676D22S750
02

Mechanism of action

Mediates cellular uptake of vitamin B12 via receptor-mediated endocytosis; drugs (vitamin B12 analogs) may use transport by binding TCN2[1][5][7][9]

03

Biological functions

Cellular uptake of vitamin B12Plasma transport of cobalaminSupport of DNA synthesisSupport of methylation reactionsHomocysteine clearanceCell proliferation
04

Disease associations

Macrocytic anemiaMegaloblastic anemiaNeurological disordersImmunodeficiencyOther (vitamin B12 deficiency–related disorders)
05

Safety considerations

Genetic deficiency can cause severe anemia, neurological decline, and immunodeficiency if untreateddiagnosis can be challenging due to variable presentation and rare mutations[8][7]
06

Interacting drugs

Vitamin B12 (cyanocobalamin, hydroxocobalamin)

1 more in the full profile.

07

Biomarkers

Holotranscobalamin (active B12 complex)plasma TCN2 mutationsactive B12 levels for patient selection or deficiency diagnosis[3][1]

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